Your application has been submitted.
1.
Tell us about yourself.
*
First Name
Middle Initial
Last Name
Other Name(s) You Use
Street Address
City
State
{{state.name}}
Zip
Primary Phone
(###) ###-####
Alternate Phone
(###) ###-####
Email
2.
Where do you want to volunteer? Asterisk(*) indicates you must be 18 years of age.
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*
3.
What are your volunteer interests?
*
{{item.name}}
You must select at least 1.
4.
When are you available to volunteer?
*
{{item.name}}
You must select at least 1
If you are under 18 years, a
Volunteer Release
must be completed and signed by your parent or legal guardian. The release must be submitted prior to the volunteer activity.
5.
Are you 18 years or older?
Yes
No
6.
What is your preferred method of contact?
*
{{item.name}}
You must select at least 1
7.
When can we contact you?
*
{{item.name}}
You must select at least 1
8.
Have you volunteered with the City of Olathe before?
*
Yes
No
You must select either Yes or No
9.
In what area or activity did you volunteer with the City of Olathe?
Area or Activity
10.
Tell us about other organization(s) where you have volunteered.
Organization Name
Organization Address
Organization Phone
Organization Name
Organization Address
Organization Phone
11.
Tell us about your employment.
Employer's Name
Your Occupation
Work Phone
12.
What are your special skills?
{{item.name}}
Other Special Skills
Other Language Skills
13.
Do you need special accomodations?
Yes
No
14.
Please describe the special accomodations you require.
Special accomodations
15.
Who is your first reference?
*
First Name
Last Name
16.
Please provide contact information for your first reference.
*
Street Address
City
State
{{state.name}}
Zip
Phone
Alternate Phone
Email
17.
Who is your second reference?
*
First Name
Last Name
18.
Please provide contact information for your second reference.
*
Street Address
City
State
{{state.name}}
Zip
Phone
Alternate Phone
Email
You are afforded the opportunity to accept or decline medical treatment and accident insurance coverage provided by the City of Olathe.
This coverage shall be your sole and exclusive remedy in the unlikely event of injury or illness.
You are encouraged to have a current Tetanus vaccination.
19.
Do you want to accept or decline medical treatment and accident insurance coverage provided by the City of Olathe?
*
I accept medical treatment and accident insurance coverage.
I decline medical treatment and accident insurance coverage.
Your agreement to the following statement is required to submit this application.
Additional documentation may be required after you submit this application.
I agree not to consume, use possess, or be under the influence of any drug or alcohol product(s) while I am volunteering for the City of Olathe.
I understand that any conduct or pattern of conduct that would tend to disrupt, diminish, or otherwise jeopardize public trust in the City of Olathe will result in my dismissal.
I understand that depending upon the nature of the volunteer assignment, the City of Olathe may deem it necessary to obtain my driver's license record and/or process a criminal background check.
I consent to the City of Olathe to make a request(s) for my driver's license record and/or process a criminal background check on me.
I release, relinquish, and remise the City of Olathe, its employees, agents and representatives from any and all causes of action or liability which I may have or which arise out of, or as a result of, the reports herein authorized.
Furthermore, I understand that my failure to execute this informed consent will result in my not being further considered for employment or volunteerism.
I understand that my volunteer assignment with the City of Olathe may be terminated at any time. Reasons for termination may include, but are limited to, anything that might be present on my driving record or criminal background check or termination of the volunteer program.
I acknowledge that volunteer photographs may be taken for possible use in: news releases, internal publications, promotional and educational materials.
I understand that I may be asked to perform any type of volunteer work that is needed unless I specifically indicate my desire to work with certain animals, perform certain tasks, or volunteer in certain areas as indicated on this application.
To the best of my knowledge I have answered everything on this application truthfully and have not given any information intended to deceive or commit fraud or made any false statement that might be construed as such.
I understand that this application will be kept on file for one year.
20.
Do you agree?
*
I agree to the above statement and I understand my agreement is indicated when I submit this application.
You must accept the terms of service before you can proceed.
Submit